Make of Car:________________________ Model:______________
Year:_________

Make of Car:________________________ Model:______________ Year:_________

In consideration of this entry, car owner/s
agrees to permit Sturgeon Bay Visitor & Convention Bureau the use of their name, picture, and pictures of their vehicle for publicity,
advertising, and commercial purpose before, during and after the event.Also, the acceptance of the right to participants and
spectators by execution of this form, release and discharge Sturgeon Bay Visitor & Convention Center, the City of Sturgeon Bay,
the Old Bolts Car Club, or any other organization or sponsoring bodies and their associated representatives, of and from any or all
known and unknown damages, injuries and/or claims from any cause whatsoever that may be suffered by any entrant to his or her person
or property. Further, each entrant expressly agrees to indemnity of all the foregoing entities, firm, person, and bodies of and from
any and all liability occasioned or resulting from the conduct of entrants or any participant assisting or cooperating with entrant.

Signed:
_________________________________________ Date:_________________________
(Application must be signed in order to be processed.)

Please
note that all vehicles MUST be moved or parked in a legal parking space after 5:00 p.m. the day of the show.

**Confirmation of your
registration will be sent by email.**

Mail completed, signed entry form and check made payable to:

Old Bolts Car Club
6706 Memorial
Drive
Egg Harbor, WI 54209

Pre-Registration valid through September 7, 2018.

Thank you for pre-registering!

Proceeds from this year’s
event will be donated to: Local Charities, to be determined

All pre-registered vehicles
are entered into a special
raffle prize drawing.
(Must be present to win)